儿科护士终身学习感知与临床决策过程中自信、焦虑的关系

Mukaddes Demir Acar, Cemre Gul Kilinc, Osman Demir
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摘要

本研究旨在探讨儿科护士终身学习认知与临床决策过程中的自信和焦虑的关系。在世界范围内不断发展和变化的卫生保健环境和循证护理中,适应变化的最重要方法之一是终身学习。终身学习者最基本的特征是反思、质疑、享受学习、理解知识的动态本质、通过积极寻找学习机会参与学习,从而实现循证护理。儿科护士被纳入这项描述性、相关性和横断面研究。该研究基于2021年4月至7月期间土耳其首都一家医院儿科诊所的儿科护理。研究发现,终身学习的平均得分因性别、受教育程度、专业服务年限和工作单位而异,且差异有统计学意义。儿科护士终身学习水平解释了临床决策自信的三个子维度。回归分析结果显示,终身学习水平对儿科护士临床决策量表焦虑子维度得分无显著预测作用。如果儿科护士终身学习的倾向足够充分,就可以对护理过程中的临床决策产生积极的影响。评估护士对终身学习的认知是为儿科患者实施循证护理的重要一步。临床决策技能可以通过提高护士终身学习意识来支持。
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The Relationship Between Lifelong Learning Perceptions of Pediatric Nurses and Self-Confidence and Anxiety in Clinical Decision-Making Processes.

This study was conducted to evaluate the relationship between lifelong learning perceptions of pediatric nurses and self-confidence and anxiety in clinical decision-making processes. One of the most important ways to adapt to change in the developing and changing health care environment worldwide and in evidence based nursing care is lifelong learning. The most essential characteristics of a lifelong learner are reflection, questioning, enjoying learning, understanding the dynamic nature of knowledge and engaging in learning by actively seeking learning opportunities so that evidence-based nursing care can be achieved. Pediatric nurses were included in this descriptive, correlational and cross-sectional study. The study was based on pediatric nursing in the pediatric clinics of a hospital in the capital of  Turkiye between April and July 2021. It was determined that the mean scores of lifelong learning differed according to gender, education level, length of service in the profession and the unit in which each individual worked, and these differences were statistically significant. Pediatric nurses' lifelong learning level explained the three subdimensions of self-confidence in clinical decision-making. The results of the regression analysis indicate that lifelong learning levels of the pediatric nurses did not significantly predict their scores on the subdimensions of anxiety with clinical decision-making scale. Positive effects on clinical decision-making in the nursing process can be achieved if the tendencies of pediatric nurses toward lifelong learning are sufficient. Assessing nurses' lifelong learning perceptions is an essential step toward implementing evidence-based care for pediatric patients. Clinical decision-making skills can be supported by increasing nurses' lifelong learning awareness.

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